Non-traumatic hemoperitoneum in the ED setting: causes, characteristics, prevalence and sex differences

Scheinfeld, Meir H.; Schwartz, Carly; Jain, Vineet R.; Goldman, Inessa

doi:10.1007/s00261-020-02699-w

Cited by 2 publications

(3 citation statements)

References 15 publications

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“…While multiple case reports have been published, case series or clinical trends have not been well documented. We believe this case is unique, given the presentation age greater than 40 [ [2] , [7] ], as well as the patient's surgical history of hysterectomy. The reported size of the cyst is also uncharacteristically small for the severity of the patient's symptoms.…”

Section: Discussionmentioning

confidence: 99%

Postcoital cyst rupture presenting as peritonitis and hemorrhagic shock: A case report

Martin

Chung

Knotts

et al. 2022

Case Reports in Women's Health

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Section: Discussionmentioning

confidence: 99%

Postcoital cyst rupture presenting as peritonitis and hemorrhagic shock: A case report

Martin

Chung

Knotts

et al. 2022

Case Reports in Women's Health

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“…The US aspect of hemoperitoneum is free fluid; its appearance is non-specific, it may be hypo-, iso-, or hyperechoic and may demonstrate fluid-fluid level with mixed internal echogenicity. This is mainly related to the onset time of bleeding and proximity of the hemorrhagic source [ 5 , 6 ].…”

Section: Black: Us Featuresmentioning

confidence: 99%

“…It can be considered as a first diagnostic approach to acute, non-traumatic abdominal pain, easily performed by all physicians involved in acute care settings. US is widely available nowadays and fluid semeiotics is the first teaching point in the US learning process [ 6 ]. Providing basic knowledge of US anatomy and US features of abnormality, the black pattern may represent a quick way to categorize US findings in a single patient and narrow down the list of potential causes.…”

Section: Introductionmentioning

confidence: 99%

The “Black Pattern”, a Simplified Ultrasound Approach to Non-Traumatic Abdominal Emergencies

Tamburrini¹,

Consoli

Garrone

et al. 2022

Tomography

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Background: A key issue in abdominal US is the assessment of fluid, which is usually anechoic, thus appearing “black”. Our approach focuses on searching for fluid in non-traumatic patients, providing a new, simplified method for point-of-care US (POCUS). Objective: Fluid assessment is based on a three-step analysis that we can thus summarize. 1. Look for black where it should not be. This means searching for effusions or collections. 2. Check if black is too much. This means evaluating anatomical landmarks where fluid should normally be present but may be abnormally abundant. 3. Look for black that is not clearly black. This means evaluating fluid aspects, whether wholly anechoic or not (suggesting heterogeneous or corpusculated fluid). Discussion: Using this simple method focused on US fluid presence and appearance should help clinicians to make a timely diagnosis. Although our simplified, systematic algorithm of POCUS may identify abnormalities; this usually entails a second-level imaging. An accurate knowledge of the physio–pathological and anatomical ultrasound bases remains essential in applying this algorithm. Conclusion: The black pattern approach in non -traumatic emergencies may be applied to a broad spectrum of abnormalities. It may represent a valuable aid for emergency physicians, especially if inexperienced, involved in a variety of non-traumatic scenarios. It may also be a simple and effective teaching aid for US beginners.

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Non-traumatic hemoperitoneum in the ED setting: causes, characteristics, prevalence and sex differences

Cited by 2 publications

References 15 publications

Postcoital cyst rupture presenting as peritonitis and hemorrhagic shock: A case report

Postcoital cyst rupture presenting as peritonitis and hemorrhagic shock: A case report

The “Black Pattern”, a Simplified Ultrasound Approach to Non-Traumatic Abdominal Emergencies

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